Neurological disorders form one of the most challenging domains in modern clinical practice.The brain, spinal cord, and peripheral nerve constitute an organ responsible for perception of the environment. A person‘s behaviour within it and the maintenance of the bodies, internal Milieu in readiness of this behaviour, however, neurological symptoms are often not associated with disease and considered clinical skill is needed to distinguish those with the significant disease from those who need sympathetic reassurance.
A carefully taken history of the pattern of present in neurological symptoms should suggest a short list of diagnoses that can be tested on examination during the neurological exam. Examination knowledge of the relevant anatomy and physiology of the nervous system helps to determine the site of the lesion.
Once the patient’s neurological region ( the deficit) is identified, the clinic needs to assess what impact this has had on the patient’s functioning ( the disability) and how this is affecting his or her life.
Upper motor and lower motor neuron lesion
Upper motor neuron are corticospinal inter neurons which arise from the motor contacts and descend in the spinal cord, mostly in lateral part where these signs with low motor neurons, lower motor neurons start from the interior home cells where upper motor neuron sign apps and go to the effect, organs, (mainly muscles, and glands)
Cells of the nervous system
In addition to a variety of neurons, the nervous system include specialised blood vessels, ependymal cells lining the cerebral ventricles and the girl cells of which there are three types astrocytes from the structural framework for the neurons and control their biochemical environment, astrocyte foot processes and closely associated with the blood vessels to form the blood brain barrier, oligo, Dentro sites and responsible for the formation of maintenance of the Milin sheet, which surrounds Exxon and is essential for the rapid transmission of action potential by is Tottori conduction, micro and blood drive. Mono micro phases peripheral neurons have the exams invested in by Schwann cell.
Investigations of neurological Diseases
The major tests are:
- Electroencephalography EEG
- Evolve potential EPs
- Now conduction studies electromyography, NCS/EMG
- Imaging- CT, myelography and angiography, MRI, MRA,
- Plain Xray – neck, lumbar sacral region , skull
- Ultrasound (Doppler, imaging of blood vessels, and radio isotopes (SPECT, PET)
In Homeopathy, treatment begins the moment the patient enters the clinic. Every gesture becomes a diagnostic clue—their gait, posture, facial expressions, tone of voice, level of confidence, and the way they narrate their concerns. This holistic observation forms the foundation of our understanding of neurological disorders. In such cases, examining posture, stance, axial tone, coordination, and balance becomes essential.
For instance, the Romberg Test offers a simple yet powerful neurological assessment. By asking the patient to stand with feet together—first with eyes open, then closed—we evaluate proprioception and the body’s ability to maintain spatial orientation. Any swaying, instability, or collapse provides insights into sensory ataxia, vestibular weakness, or cerebellar involvement.
Patients showing marked instability, trembling, or difficulty maintaining balance may reflect remedies like:
1. Gelsemium, known for muscular weakness and loss of coordination
2. Cocculus, often indicated in cerebellar disturbances and vertigo.
3. Argentum nitricum suits those with anticipatory anxiety coupled with ataxic gait and trembling.
4. Conium is valuable when vertigo worsens on closing the eyes—mirroring a positive Romberg.
In cases of neuromuscular incoordination with staggering gait, Phosphorus and Alumina frequently emerge in the totality, while Agaricus remains a classic choice for jerky, unsteady movements resembling cerebellar dysfunction.
What studies says:
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About 40 percent of brain tumor patients in the study used alternative therapies including homeopathic remedies
| Procedure | Abnormility | Disease |
| Examine Posture Axial tone Retropulsion/anteropulsion | Stooped Axial tone ↑ Postural instability | Parkinsonism Parkinsonism(Parkinson’s plus syndrome) Parkinsonism |
| Examine arms during waling | Reduced arm swing | Pakinson, upper motor neuron lesion |
| Examine routine walking | Circumduction (stiffleg moves outwards in circular manner) ‘Slapping’ due to foot drop Narrow-based,short strides Wide-based, irregular strides High-stepping gait | Upper motor neuron lesion Lower motor neuron lesion Parkinsonism Cerebellar lesion Dorsal column lesion/sensory neuropathy |
| Examine Tandem gait | Inability to perform task | Cerebellar lesion, dorsal column lesion |
| Perform Romberg Test | Patient falls with eyes shut | Loss of joint position sense at ankles |
Romberg Test:
A Romberg test (also known as Romberg’s sign) is a simple physical test to see if you have balance problems that are related to proprioception — your body’s ability to sense your movements and position.
In particular, the test can determine if your dorsal column pathway of your brain and spinal cord, which controls proprioception, isn’t working properly.
The test involves standing with your feet together and your arms at your side or crossed in front of you. Part of the test is with your eyes open, and the second part is with your eyes closed. Your healthcare provider observes you during the test and notes any signs of imbalance, such as swaying.
The test is named after European neurologist, Mortiz Romberg, who came up with the tool in the 19th century to diagnose tertiary (late) syphilis.
Common Nerve Injuries
A nerve injury has a profound impact on the patient’s daily life due to the impaired sensory and motor function, impaired dexterity, sensitivity to cold as well as eventual pain problems.
- Radial Nerve: The radial nerve is very commonly damaged in the region of the radial groove. The common cause of injury are as follow
A. Saturday Night Palsy- By Sleeping in an armchair with the limb hanging by the side of the chair
B. Crutch paralysis: When the patient is having pressure of the crutch
C. Wrist Drop: When there is fracture of the shaft of the humerus. This results in the weakness and loss of power of extension at the wrist. It is a disabling condition, as the patient is not able to grip any object.
- Ulnar Nerve: The ulnar nerve is one of several major nerves that supply the upper extremities (the arms)
- Cubital Tunnel Syndrome: The ulnar nerve wraps directly behind the humerus bone along the back of the elbow joint.5 Cubital tunnel syndrome is the chronic compression of the ulnar nerve behind the elbow.
- Claw hand- or ulnar claw, is a deformity where the fingers are bent into a “claw-like” position, causing difficulty with grasping objects.
3. Median nerve – serves the upper limb’s critical motor and sensory functions.
A. Carpal Tunnel Syndrome
Anatomically, the carpal tunnel consists of the flexor retinaculum superiorly and the carpal bones inferiorly. Within this tunnel lie the median nerve and 9 flexor tendons. Symptoms may localize to the wrist or affect the entire hand, often radiating into the forearm. Typical signs and symptoms of carpal tunnel syndrome include thenar weakness, numbness in the radial three and a half fingers, and paresthesias.
B. Pronator Syndrome
Pronator syndrome, also known as pronator teres syndrome, arises from compression of the median nerve by the pronator teres muscle. The clinical presentation can closely resemble carpal tunnel syndrome. Patients often report forearm discomfort during activity.
4. C5 and C6 spinal nerves Injury
The “policeman’s tip” deformity is a classic sign of Erb’s palsy, a type of brachial plexus injury caused by damage to the nerves in the shoulder and arm, specifically the C5 and C6 spinal nerves
Erb’s Palsy
Homeopathic Remedies for Nerves
1. Hypericum Perforatum (St. John’s-wort)
- The great remedy for injuries to nerves, especially of fingers, toes and nails. Crushed fingers, especially tips. Excessive painfulness is a guiding symptom to its use. Punctured wounds. Relieves pain after operations.
- Indicated in shooting, radiating pains along the nerve pathways.
- Useful in post-traumatic neuralgia and spinal nerve irritation.
Sensation of Crawling in hand and feet. Lancinating pain in upper and lower limbs. Neuritis, with tingling, burning pain, numbness and flossy skin.
2. Gelsemium sempervirens (Yellow Jasmine)
- Centers its action upon the nervous system, causing various degrees of motor paralysis.
- Helpful for nerve weakness, trembling, heaviness, lack of coordination.
- Helpful in cases with anticipatory anxiety causing neuromuscular fatigue.
- Indicated when the patient feels dullness, drowsiness, mental & motor sluggishness.
- Pains are Better on: bending forward, by profuse urination, open air, continued motion, stimulants. Worsen on damp weather, fog, before a thunderstorm, emotion, or excitement, bad news, tobacco-smoking, when thinking of his ailments.
3. Causticum (Hahnemann’s Tinctura acris sine Kali)
- Excellent for motor nerve involvement, especially when there is:
- Numbness
- Weakness of muscles
- Drooping eyelids
- Paralytic tendencies
- Numbness
- Indicated in Left-sided sciatica, with numbness.
- Also helpful in post-Bell’s palsy.
- When symptoms get worse in dry, cold winds, in clear fine weather, cold air; from motion of carriage
4. Argentum Nitricum (Nitrate of Silver)
- For nervous system hypersensitivity, trembling, and loss of control.
- Useful in patients with anticipatory fear, trembling of hands, weak coordination.
- Also helps in functional gait disturbance.
5. Phosphorus
- For nerve degeneration, burning sensations, weakness.
- Highly indicated in patients who are sensitive, anxious, easily exhausted.
- Useful in peripheral neuropathy with tingling and numbness.
- Complaints: Worse on touch; physical or mental exertion; Better, in dark, lying on right side, cold food; cold; open air; washing with cold water; sleep.
6. Kali Phosphoricum
- Excellent nerve tonic. One of the greatest nerve remedies in our materia medica.
- Indicated for mental exhaustion, nerve weakness, stress-related neural fatigue.
- Helpful in patients with weak memory, irritability, insomnia from nervous strain.
- Paralytic lameness in back and extremities. Exertion aggravates.
7. Zincum Metallicum
- The word “fag” covers a large part of zinc action.
- For restless nerves, twitching, jerking, chorea-like symptoms.
- Indicated in nerve exhaustion after prolonged illness.
- Useful in peripheral nerve irritability and neuropathic pain.
- Dull aching pain about the last dorsal or first lumbar vertebra, pain worse on sitting. Sensation of burning along the spine. Other pain locations are Nape of neck weary from writing or any exertion, long sittings in a bad posture.
8. Aconitum Napellus (Monkshood)
- For acute nerve inflammation with sudden onset.
- Helps relieve tingling, burning, numbness following exposure to cold or shock.
- Character of the pain: Numbness and tingling; shooting pains; icy coldness and insensibility of hands and feet. Arms feel lame, bruised, heavy, numb. Pain runs down the left arm.
9. Rhus Toxicodendron (Poison-ivy)
- For nerve & muscle stiffness, especially on the first movement.
- Indicated in sciatica, lumbosacral nerve irritation, and overuse injuries.
- Pain along the ulnar nerve. Tearing down thighs. Sciatica; worse, cold, damp weather, at night. Numbness and formication, after overwork and exposure.
- Crawling sensation in the tips of fingers. Tingling in feet.
10. Magnesia Phosphorica
- Indicated in neuralgic pains, especially sharp, cutting, shooting pains.
- Classically better from warmth and pressure.
- Helps in Severe neuralgic pain in ears ; worse behind right ear; worse, by going into cold air, and washing face and neck with cold water.
- Also helpful in Sciatica; when feets are very tender. Darting pains. Twitchings. Chorea. Writers’ and players’ cramp.
Reference
https://my.clevelandclinic.org/health/diagnostics/22901-romberg-test
https://geekymedics.com/nerve-supply-to-the-upper-limb/
https://share.google/svrcXjDPysCIYreAl
https://www.ncbi.nlm.nih.gov/books/NBK553109
http://homeoint.org/
